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3600 Laketon Road Pittsburgh, PA 15235 (412) 241-5155

Application for Enrollment

First Name (Legal Name)

Last Name (Legal Name)

Chosen Name

Phone

State/Region/Province

Postal / Zip code

Country

Birthday

Sex

Pronouns

Education:

Education

High School or GED Information

High School Diploma

GED

Graduation Date or GED Test Date

High School or Testing Center Information

Please upload a legible copy of your High School Diploma or GED Document.

Upload PDF

Upload Image

Have you ever been convicted of a felony or misdemeanor?

Yes

If yes, Please explain:

Please note that Pennsylvania requires a license to practice Massage Therapy and that certain criminal convictions may prevent you from becoming licensed. As such, we encourage you to disclose any criminal history you may have.

Program Information:

I am applying for admission to the Pittsburgh School of Massage Therapy’s Comprehensive Massage therapy Training Diploma Program (682 clock hours) with the following class schedule and start date:

Select a program

Morning (9 months)

Afternoon (9 months)

Evening (9 months)

Monday-Friday

8AM to 12PM

$12,800

Starts 6/4

Saturday & Sunday

9AM to 5PM

$12,800

Starts 9/10

Monday-Friday

1PM to 5PM

$12,800

Starts 6/4

Sunday, 9AM to 5PM

Monday & Tuesday, 6PM to 10PM

$12,800

Starts 7/9

Monday-Friday

6PM to 10PM

$12,800

Starts 6/4

Wednesday & Thursday,

9AM to 5PM

$12,800

Starts 4/5

Weekend (11 months)

Hybrid (11 months)

Weekday (11 months)

Statement of Purpose:

Please tell us who you are, why you want to attend massage school.

Select a date

Rep

Add answer here

Your Signature

I have been provided with a copy of the school catalog.

I attest that I have personally written the above statement of purpose. I certify that all the information in this application is accurate and understand it will be used to determine my admittance to the Pittsburgh School of Massage Therapy.